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Aging with HIV: Health and Social Aspects in Older Americans

This study explores how older HIV+ individuals in the United States are managing their condition. Results show they have more comorbidities, higher mental functioning, and better social support compared to younger counterparts. Further analysis will investigate the impact of race and education.

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Aging with HIV: Health and Social Aspects in Older Americans

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  1. Getting older while living with HIV in the United StatesNokes, et al. U.S. participants (N=1293) Ages: 40-49 (n=687, 53%) 50-59 (n=514, 40%) 60+ (n=092, 07%)

  2. Results • Older HIV+ people were living with more comorbidities, more likely to be taking HIV medications and less likely to have AIDS. • Older HIV+ people had significantly higher mental functioning (SF-12), less depressive symptoms (CES-D), and better treatment self-efficacy (HIV-ASES) and better social capital. • Further analysis will control race & education to determine if these significant relationships persist.

  3. How to interpret these findings? • Compare with general aging populations. • Suggestion: • The Health and Retirement Study, a 20-year nationwide survey of the health, economic and social status of older Americans, run out of the University of Michigan and supported by the National Institute on Aging. • http://www.ncbi.nlm.nih.gov/projects/gap/cgi-bin/study.cgi?study_id=phs000428.v1.p1

  4. Components • Health measures include physical/psychological self-report, various health conditions, disabilities; cognitive performance; health behaviors (smoking, drinking, exercise), physical performance and anthropomorphic measures, and biomarkers (HbA1c, Total Cholesterol, HDL, CRP, Cystatin-C). • Health services including utilization, insurance and out-of-pocket spending with linkage to Medicare records. • Economic measures include employment status/history, earnings, disability, retirement, type of work, income by source, wealth by asset type, capital gains/debt, consumption, linkage to pensions, Social Security earnings/benefit histories. • Extensive information on family structure, proximity, transfers to/from of money, time, social and psychological characteristics, as well as a wide range of demographics.

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